Because the fragile skin under the eye is thinner than that of the rest of the face, dark circles and puffiness can appear more prominent when there is a lack of sleep. But if these symptoms are long-lasting, it could be due to a loss of fat or collagen, or both.
If under-eye circles and puffiness don’t go away on their own or with the help of topical products, lower blepharoplasty, which can remove or reposition fat, may be the best option.
Typically, the results are long-lasting; in most cases, the procedure doesn’t need to be redone for 10 years or longer. However, your eyes will continue to age.
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